Provider Demographics
NPI:1619300415
Name:POTTER, NICHOLAS JOHN (MBBS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOHN
Last Name:POTTER
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Gender:M
Credentials:MBBS
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:UNIVERSITY OF IA HOSPITALS OTOLARYNGOLOGY 21112PFP
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2167
Mailing Address - Fax:319-356-4547
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:UNIVERSITY OF IA HOSPITALS OTOLARYNGOLOGY 21112PFP
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2167
Practice Address - Fax:319-356-4547
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
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Provider Licenses
StateLicense IDTaxonomies
IAR-9603207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology